This Article Free Full Text (Free PDF) Free References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (6) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Provan, K. G. Articles by Milward, H. B. Search for Related Content Social Bookmarking                         What's this?

Cooperation and Compromise: A Network Response to Conflicting Institutional Pressures in Community Mental Health

University of Arizona

Kimberley R. Isett

Texas A&M University

H. Brinton Milward

University of Arizona

This article examines the evolution of a community-based network of mostly nonprofit health and human service agencies providing services to people with mental illness. The network was formed in response to a major shift in the state’s funding mechanism from fee-for-service to managed care. When confronted with conflicting institutional pressures from the state and the profession, the response was one of strategic balancing and compromise through development of an interorganizational network rather than by the passive conformity of individual agencies. How this network evolved and how compromise was achieved was examined. Data were collected shortly after the new system was first introduced and then 4 years later to allow longitudinal analysis of network evolution.

Key Words: organizational networks • cooperation/collaboration • institutional theory • mental health

Nonprofit and Voluntary Sector Quarterly, Vol. 33, No. 3, 489-514 (2004)
DOI: 10.1177/0899764004265718


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				G. P. Martin, G. Currie, and R. Finn Leadership, Service Reform, and Public-Service Networks: The Case of Cancer-Genetics Pilots in the English NHS J. Public Adm. Res. Theory., October 1, 2009; 19(4): 769 - 794. [Abstract] [Full Text] [PDF]

				K. G. Provan, K. Huang, and H. B. Milward The Evolution of Structural Embeddedness and Organizational Social Outcomes in a Centrally Governed Health and Human Services Network J. Public Adm. Res. Theory., October 1, 2009; 19(4): 873 - 893. [Abstract] [Full Text] [PDF]

				C. M. Grogan and M. K. Gusmano Political Strategies of Safety-Net Providers in Response to Medicaid Managed Care Reforms Journal of Health Politics Policy and Law, February 1, 2009; 34(1): 5 - 35. [Abstract] [PDF]

				K. Babiak and L. Thibault Challenges in Multiple Cross-Sector Partnerships Nonprofit and Voluntary Sector Quarterly, February 1, 2009; 38(1): 117 - 143. [Abstract] [PDF]

				K. G. Provan and P. Kenis Modes of Network Governance: Structure, Management, and Effectiveness J. Public Adm. Res. Theory., April 1, 2008; 18(2): 229 - 252. [Abstract] [Full Text] [PDF]

				K. Huang and K. G. Provan Resource Tangibility and Patterns of Interaction in a Publicly Funded Health and Human Services Network J. Public Adm. Res. Theory., July 1, 2007; 17(3): 435 - 454. [Abstract] [Full Text] [PDF]

				K. G. Provan, A. Fish, and J. Sydow Interorganizational Networks at the Network Level: A Review of the Empirical Literature on Whole Networks Journal of Management, June 1, 2007; 33(3): 479 - 516. [Abstract] [PDF]